Mar 06, 2026
Apex Systems, Inc.
Job#: 3024914
Job Description:
Job Title: Payment Integrity Clinician I (Remote) Location: Remote - must reside in Oregon (OR), Washington (WA), Idaho (ID), or Utah (UT) Pay Rate: $25-$27 per hour Duration: 6month contract Primary Job Purpose The Payment Integrity Clinician I is responsible for conducting postservice clinical reviews of medical claims in a prepayment, postpayment, or audit capacity. This position ensures accurate clinical evaluation, appropriate reimbursement, and proper coding application in accordance with internal medical policies, reimbursement guidelines, and nationally accepted standards. The clinician will evaluate medical records, interpret clinical information, and apply standardized coding and policy criteria to support claim determinations. Key Responsibilities Apply clinical expertise to validate compliance with medical and reimbursement policies, guidelines, and accepted standards of care. Review...
Professional Diversity Network
Portland, OR, USA
